| Mark Spears MD PLLC | |
|
5600 Porada Dr Ste 103 Viera FL 32940-8082 | |
| (321) 505-7380 | |
| Not Available |
| Full Name | Mark Spears MD PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5600 Porada Dr Ste 103, Viera, Florida |
| Authorized Official Name and Position | Mark Alan Spears (CEO) |
| Authorized Official Contact | 3215057380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Spears MD PLLC 3484 Gatwick Manor Ln Viera FL 32940-8405 Ph: (321) 505-7380 | Mark Spears MD PLLC 5600 Porada Dr Ste 103 Viera FL 32940-8082 Ph: (321) 505-7380 |
| NPI Number | 1578112033 |
|---|---|
| Provider Enumeration Date | 09/08/2019 |
| Last Update Date | 09/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578112033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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